Healthcare Provider Details

I. General information

NPI: 1700664844
Provider Name (Legal Business Name): FOSTER AND GARFF SURGICAL ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2023
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2124 S EL CAMINO REAL STE 100
OCEANSIDE CA
92054-6211
US

IV. Provider business mailing address

2124 S EL CAMINO REAL STE 100
OCEANSIDE CA
92054-6211
US

V. Phone/Fax

Practice location:
  • Phone: 760-729-7101
  • Fax: 760-729-7106
Mailing address:
  • Phone: 760-729-7101
  • Fax: 760-729-7106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHERRY BISHOP
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 760-729-7101